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Asymptomatic Intracardiac Thrombi and Primary Antiphospholipid Syndrome
- Source :
- Cardiology. 92:65-67
- Publication Year :
- 1999
- Publisher :
- S. Karger AG, 1999.
-
Abstract
- Intracardiac thrombi have rarely been reported in patients with the antiphospholipid syndrome. We describe a new case revealed by systematic echocardiography in an asymptomatic woman who consulted for mild thrombocytopenia. Our case is characterized by a past history of migraine, fetal loss and psychiatric disturbances and by a high level of antiphospholipid antibodies (anticardiolipin, anti-β2-glycoprotein I and lupus anticoagulant). Echography, in the absence of any cardiovascular symptom, showed bulky right intra-atrial thrombi requiring surgical excision. Histopathological analysis revealed the fibrino-cruoric nature of the lesion without myxoma. This case shows that, when faced with a mild thrombocytopenia associated with antiphospholipid antibodies, echocardiography may reveal a life-threatening and completely asymptomatic intracardiac thrombosis.
- Subjects :
- Adult
medicine.medical_specialty
Asymptomatic
Intracardiac injection
Diagnosis, Differential
Antiphospholipid syndrome
Immunopathology
Internal medicine
medicine
Humans
Pharmacology (medical)
Platelet
cardiovascular diseases
Thrombus
Autoimmune disease
Depressive Disorder
Vascular disease
business.industry
Coronary Thrombosis
Antiphospholipid Syndrome
medicine.disease
Surgery
Echocardiography
Antibodies, Antiphospholipid
cardiovascular system
Cardiology
Female
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 14219751 and 00086312
- Volume :
- 92
- Database :
- OpenAIRE
- Journal :
- Cardiology
- Accession number :
- edsair.doi.dedup.....ff1816613e0212cad3754a4c56e7b895